Remote BCBA – Behavioral Health Utilization Specialist

Sentara Health Plans; Norfolk (VA); Hybrid; USD 70,000 - 110,000; Full time

Benefits offered by this job

Medical, Dental, Vision plans

Paid Time Off and Sick Leave

401k/403B with Employer Match

Tuition Assistance

Employee bonus potential

Job summary

Sentara Health Plans in Norfolk, VA seeks a Board Certified Behavior Analyst (BCBA) for Utilization Management, working remotely within Virginia. The role emphasizes evidence-based care, clinical guidelines, and collaboration across care levels to ensure appropriate services and benefits.

Required BCBA certification and VA state licensure, with a Master's in Behavior Analysis. Join a team focused on quality outcomes and compliant, patient-centered care in a remote setting.

Qualifications

• BCBA certification required and in good standing.
• Experience with utilization management and case review.
• Strong clinical knowledge in ABA and ASD.

Responsibilities

• Assess treatment plan appropriateness across levels of care.
• Coordinate with providers to facilitate needed services.
• Document clinical criteria and ensure accurate claims data.
• Educate stakeholders on clinical necessity and ABA compliance.

Skills

BCBA certification

Utilization Management

Critical thinking

Education

Master's Degree in Behavior Analysis

Job description

Sentara Health Plans in Norfolk, VA seeks a Board Certified Behavior Analyst (BCBA) for Utilization Management, working remotely within Virginia. The role emphasizes evidence-based care, clinical guidelines, and collaboration across care levels to ensure appropriate services and benefits.

Required BCBA certification and VA state licensure, with a Master's in Behavior Analysis. Join a team focused on quality outcomes and compliant, patient-centered care in a remote setting.